Providence St Luke's Rehabilitation Medical Center
711 S Cowley St, Spokane, WA · Providence · · NPI 1497752091
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $7.12 | 5 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $148.26 – $163.09 | 5 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $130.73 – $157.72 | 5 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $148.26 – $163.09 | 5 |
| Av fistula revision CPT 36833 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,518.52 – $3,870.37 | 5 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $6,200.75 – $6,820.83 | 5 |
| Avul nail plate addl CPT 11732 | not published | not published | $58.03 – $58.03 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $223.58 – $245.93 | 5 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,736.80 – $7,410.48 | 5 |
| Azacitidine injection HCPCS J9025 | not published | not published | $5.33 – $5.33 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | $7.58 | $10.83 | $0.87 – $0.87 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $280.23 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $70.66 | $100.94 | $10.85 – $10.85 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $459.79 | $656.84 | not published | 0 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,699.32 | $3,856.17 | $178.05 – $195.86 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $226.48 – $226.48 | 1 |
| Baclofen eval charges CPT 97750 | $57.20 | $81.71 | $38.60 – $42.46 | 5 |
| Bacterial meningitis antigen CPT 86403 | $281.75 | $402.50 | $11.54 – $12.69 | 5 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $70.20 – $77.22 | 5 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $16.52 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $38.60 | 5 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $23.12 – $23.12 | 1 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $618.85 – $618.85 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.74 – $0.74 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $7.40 – $7.40 | 1 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $35.39 – $35.39 | 1 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $22.28 – $22.28 | 1 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $17.64 – $17.64 | 1 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $31.40 – $31.40 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,607.27 – $3,968.00 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $38.60 | 5 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $73.38 – $264.67 | 5 |
| Basiliximab HCPCS J0480 | not published | not published | $4,812.31 – $5,293.54 | 5 |
| B cells total count CPT 86355 | $229.43 | $327.75 | $37.73 – $41.50 | 5 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $104.49 | 5 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $113.21 – $124.53 | 5 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $4.28 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $57.19 – $62.91 | 5 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $24.41 – $24.41 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.16 – $2.37 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $14.19 | 5 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $223.58 – $245.93 | 5 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $223.58 – $245.93 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $65.11 – $65.11 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $25.45 – $28.00 | 5 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $16.18 – $17.80 | 5 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $141.81 | 5 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $141.81 | 5 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $26.32 – $26.32 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.36 – $81.79 | 5 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $2.04 | 5 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $412.16 | $588.80 | $39.90 – $43.89 | 5 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $181.13 | $258.75 | $22.45 – $24.70 | 5 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $18.56 | 5 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $985.61 – $1,084.17 | 5 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $342.05 – $376.25 | 5 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $342.05 – $376.25 | 5 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $29.24 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $531.94 – $531.94 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $7,214.07 – $7,935.47 | 5 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $7,214.07 – $7,935.47 | 5 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $7,214.07 – $7,935.47 | 5 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $11,845.30 – $13,029.83 | 5 |
| Bilicheck CPT 88720 | not published | not published | $5.02 – $5.52 | 5 |
| Bilirubin direct CPT 82248 | $34.65 | $49.50 | $5.02 – $5.52 | 5 |
| Bilirubin total CPT 82247 | $34.65 | $49.50 | $5.02 – $5.52 | 5 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $5,083.58 – $5,083.58 | 1 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $18.85 – $20.74 | 5 |
| Biofeedback, pt CPT 90901 | $409.89 | $585.56 | $16.59 – $18.25 | 5 |
| Biopsy abdominal mass CPT 49180 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Biopsy bone trocar/needle superficial CPT 20220 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $1,026.37 – $1,129.00 | 5 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $4,363.14 – $4,799.46 | 5 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $263.93 – $290.33 | 5 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $353.70 – $389.07 | 5 |
| Biopsy eye muscle CPT 67346 | not published | not published | $4,380.93 – $4,819.02 | 5 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy muscle percutaneous needle CPT 20206 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy needle liver percutaneous CPT 47000 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy needle lymph node superficial CPT 38505 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy of cornea CPT 65410 | not published | not published | $2,649.34 – $2,914.27 | 5 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $3,646.14 – $4,010.75 | 5 |
| Biopsy of heart lining CPT 93505 | not published | not published | $708.02 – $3,870.37 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,791.86 – $1,971.04 | 5 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $1,010.69 – $1,111.76 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.